Beyond Words... Images from the COVID-19 Pandemic - #OneTeamOneOUH by OUHtrust

Images from the

COVID-19

PANDEMIC #OneTeamOneOUH

THANK YOU Our OneTeamOneOUH response to the COVID-19 pandemic has involved every single part of Oxford University Hospitals (OUH) and our partner organisations. Thank you to all staff who shared their experiences to enable us to document this time and to compile a collection of images which we will be able to look back on in years to come. The photographs in this book are arranged in three collections around our six values: Co m pa s s io n ⎜ R e s p e c t ⎜ D el i ver y ⎜ Excel l en ce ⎜ Lea rn i n g ⎜ I mprovem ent

Beyond Words has been funded by Oxford Hospitals Charity, thanks to the generosity of their supporters. This book is a gift to staff, volunteers and friends of Oxford University Hospitals NHS Foundation Trust, in recognition of their efforts during this complex time. The book has been printed locally, with thanks to Fine Print Ltd, using vegetable-based inks and paper sourced from fully sustainable forests.

Government guidance on the wearing of Personal Protective Equipment (PPE) and maintaining social distancing measures has changed over the course of the COVID-19 pandemic. The Trust and its staff have complied with this guidance at all times. Any photographs reproduced in this book showing staff not wearing face masks either pre-date the guidance for all staff to wear face masks on our hospital sites or have been taken in non-clinical areas of the Trust where it has been possible to enforce safe distancing for the duration of a photo shoot. Thank you to JSP, our local supplier of PPE, for keeping our staff safe throughout the COVID-19 pandemic. FRONT COVER IMAGE: Speech and Language Therapist Holly Davies donning level 2 PPE, photographed by Tom Capon © Oxford Medical Illustration (OMI), Oxford University Hospitals. BACK COVER IMAGE: Photographed by Nick Penrose © OMI, Oxford University Hospitals.

Photography by: Our in-house OUH Photography team – Emily Arthur, Tom Capon, Rebecca Gardiner, Caroline Green, and Nick Penrose © Oxford Medical Illustration (OMI). Staff and volunteers who took the time to submit photographs for inclusion. Jon Lewis, who took many of the images of critical care and ward areas – © Jon Lewis / Oxford Hospitals Charity (other charity images by Joe Baker and Sarah Vaccari). DESIGN BY: Jacqueline Love, Oxford Medical Illustration (OMI) – December 2021

contents Foreword A personal message from Dr Bruno Holthof – Chief Executive Officer, Oxford University Hospitals NHS Foundation Trust

How our world was turned upside down Key events of the COVID-19 pandemic at OUH

COLLECTION 1

Compassion and Respect

COLLECTION 2

Delivery and Excellence

COLLECTION 3

Learning and Improvement

COVID-19 chronology Month-by-month timeline from February 2020 when the first COVID-19 positive patients were admitted to OUH

110

Beyond words Reflection and recovery

115

foreword by Dr Bruno Holthof – Chief Executive Officer, Oxford University Hospitals NHS Foundation Trust On behalf of the Trust Board, I would like to say a heartfelt thank you to everyone who has been part of our OneTeamOneOUH throughout the COVID-19 pandemic. During these unprecedented times, we have demonstrated compassionate excellence by providing the best possible care not only for our patients but also for each other. Many teams and individual members of staff shared their reflections about the impact of COVID-19 on their personal and professional lives in Stories from the COVID-19 Pandemic, #OneTeamOneOUH – an eBook published in April 2021 and available at issuu.com/ouhtrust/ docs/covid-19-stories. This initiative has been highlighted as an example of best practice in NHS staff recognition by the Care Quality Commission. Thanks to funding from Oxford Hospitals Charity, who have been by our side throughout the pandemic, we have developed this new book to create a permanent record of images to mark an extraordinary time in our lives.

The photographs included in this book highlight the resilience, innovation and teamwork that has been such an important part of our OneTeamOneOUH response to the pandemic. The title reflects the fact that our experiences during the pandemic are truly ‘beyond words’. Powerful images tell a story and evoke emotions of a period that we will never forget. I am delighted that so many staff submitted their photo memories for this book. We can be very proud of our achievements in clinical research and care delivery. Our team efforts in diagnostic testing, infection prevention and control, vaccinations, and new COVID-19 treatments have saved many lives in Oxfordshire, the Thames Valley, England and the rest of the world. I hope you enjoy this book as a testimony of our joint contributions.

Dr Bruno Holthof Chief Executive Officer, Oxford University Hospitals NHS Foundation Trust DECEMBER 2021

DR BRUNO HOLTHOF Chief Executive Officer Oxford University Hospitals © manwithacamera

COMPASSION RESPECT

How our world was turned upside down … DELIVERY

DECEMBER 30 The Oxford-AstraZeneca Coronavirus Vaccine is approved for use in the UK

DECEMBER 18 OUH and Oxford Health are designated by NHS England to run a joint Long COVID Service after new research shows that 70% of people with COVID-19 develop longer term symptoms

DECEMBER 8 COVID-19 vaccinations start at 50 Hospital Hubs across the country – including at the Churchill Hospital in Oxford

JUNE 30 First research paper published about the COVID-19 staff testing programme at OUH – it reveals the different levels of risk faced by healthcare workers dealing with the pandemic

APRIL 23 The Oxford COVID-19 Vaccine Programme launches its first human clinical trials

APRIL 6 Salute the NHS, a national initiative to provide free and nutritious meals to NHS staff, is launched at OUH

MARCH 23 John Radcliffe Hospital patients among the first to be recruited to the Oxfordbased RECOVERY trial– which becomes the world’s biggest COVID-19 treatment trial

FEBRUARY 4 First COVID-19 positive patients are admitted to OUH for treatment

2020

of the COVID-19 pandemic at OUH

Key events

EXCELLENCE LEARNING IMPROVEMENT

OneTeamOneOUH

A month-by-month timeline from February 2020 is on pages 110-114

OCTOBER 4 The staff COVID-19 booster vaccination programme gets underway at OUH

JULY 7 The Oxford Vaccine Group and Jenner Institute team who developed the Oxford-AstraZeneca vaccine win the Excellence in Healthcare Award at the NHS Parliamentary Awards

JUNE 1 The first UK COVID-19 vaccine study for pregnant women is launched in Oxford as recruitment begins at the John Radcliffe Hospital

MAY 20 On International Clinical Trials Day, we thanked more than 7,000 people for taking part in nationally prioritised COVID-19 studies in Oxfordshire

FEBRUARY 4 The world’s first COVID-19 vaccine study researching alternating doses and intervals of approved vaccines begins at a University of Oxford facility on the Churchill Hospital site

JANUARY 4 OUH patient Brian Pinker becomes the first person in the world to receive the new Oxford-AstraZeneca Coronavirus Vaccine at the Churchill Hospital

2021

COLLECTION 1

COMPASSION and RESPECT

STAFF NURSE Carel Miguel supports OUH patient David Morton

COMPASSION

and RESPECT

This collection of images is based around our values of Compassion and Respect. By living our values every day as OneTeamOneOUH, and demonstrating behaviours and ways of working which are consistent with those values, together we can achieve our vision of Delivering Compassionate Excellence.

RESPECT means recognising that everyone is an individual and tailoring your approach to meet their particular needs by thinking carefully about how your actions will affect others and reflecting on the impact which this may have on them. We aim to develop a Culture of Civility and Respect at OUH.

COMPASSION means seeing things from the perspective of our patients and their families, and always putting their needs first.

The photographs in this collection convey the warmth, compassion and respect which have been evident during the COVID-19 pandemic at OUH between staff colleagues, towards patients and from our local community.

Taking the time to understand people and their situations, and to do everything possible to care for them, is also a hallmark of compassion – by valuing and acknowledging the experiences of other people.

“There is always hope, even in the darkest of times and I am proud to be part of the fight.” STAFF NURSE Manjinder Thiara John Radcliffe Ambulatory Assessment Unit

We are so grateful to everyone who answered the call to share their own images for this publication and have tried to include as many roles and departments as possible with the available images.

CLOCKWISE FROM LEFT: ■ Recovering

COVID-19 patient Michael Henderson receiving chest physiotherapy from Physiotherapists Jo Hobbs and Clare Scott-Dempster ■ A child-friendly book about the pandemic was specially printed by Oxford Hospitals Charity as a gift to the children of hospital staff and young hospital patients ■ Emergency Department staff at the John Radcliffe Hospital, June 2020 ■ April Bailey (Assistant Resuscitation Practitioner) and Janice Sharpe (Paediatric Resuscitation Practitioner) – thank you to Zoe Abel (Resuscitation Practitioner) for sharing this lovely photograph

CLOCKWISE FROM TOP LEFT: ■ Keeping safe with a friendly face – John Radcliffe

Hospital reception staff from the University of Oxford Medical School took on a wide range of supportive roles across the Trust during the pandemic ■ Garry Tan, Clinical Lead for Diabetes with Geraldine Yebra, Diabetes Specialist Nurse Team Lead ■ Visitors, including Paramedics on shift, observe newly installed digital signage at the John Radcliffe Hospital ■ Students

CLOCKWISE FROM TOP RIGHT: ■ Thank

you to Carpenter Catering for the delicious meals and warm welcome through these hard times ■ X-ray Porters, Neal Howkins and Greg Lyons. at the Horton General Hospital ■ Volunteer Pat Boreman dispenses hand sanitiser to visitors at the entrance to the Oxford Eye Hospital

CLOCKWISE FROM LEFT: ■

he newly extended Emergency Department at the T Horton General opened and became operational in the middle of the pandemic. Pictured are Grace Lowo-Obisesan (left) and Michelle Winnifrith ■ Oxford Hospitals Charity created art and photo exhibitions on each hospital site to mark the work of staff across the Trust ■ Wendy Randall, Consultant Midwife, pictured on International Day of the Midwife in May 2020

STAYING UPBEAT Staff at the Horton General Hospital

■ During

the first wave of the COVID-19 pandemic, Clap for Carers became a special moment to mark the work of keyworkers and hospital staff across the county – including at Oxford University Hospitals

Clap for Carers

CLOCKWISE FROM TOP LEFT: ■ Microbiology

staff were among many teams who shared their thanks with the public for their kind support ■ Oxford University Hospitals and the Oxford Hospitals Charity team, working with Trust staff and volunteers, were the first in the UK to collaborate with Salute the NHS, which brought 100,000 meals to OUH staff ■ Yolanda Jacob with hospital volunteers distributing meals to staff, including Therapy Assistant Adam Newberry, from the Charity Hub at the Horton General

PICTURED TOP: Jason Dorsett (Chief Finance Officer – 3rd left) and Florian Stoermer (Divisional Director of Nursing, NOTSSCaN – 4th left) with Douglas Graham (CEO, Oxford Hospitals Charity – 3rd from right), Hazel Murray (Head of Programme, Oxford Hospitals Charity – 4th right), Sarah Vaccari (Head of Communications, Oxford Hospitals Charity – far left) and colleagues at the Salute the NHS depot in Bicester

PICTURED ABOVE: Sergeant Ryan McCann and members of his team in their base at the John Radcliffe Hospital

CLOCKWISE FROM TOP LEFT: ■ Members

of the Churchill Intensive Care Unit team ■ Caring for a patient on the Neuro Intensive Care Unit ■ Tissue Viability Nurse Specialist Irena Pukiova and Staff Nurse Raluca Vagner take time out of Churchill ICU to perfect their Barre work

CLOCKWISE FROM TOP LEFT: ■ Research

Nurse, Emily Taylor, and Senior Sister, Michele Young, photographed at Horton General Hospital’s Critical Care Unit, May 2020 ■ Keeping AAU clean! ■ Domestic staff member Julito da Cruz Mota serving morning refreshment to patients ■ Then medical student and now Dr Zoe De Toledo who worked with the staff testing programme team – thank you to Denise O’Donnell (Clinical Research Operations Manager) for submitting this photograph

Care across the Horton General

■ These

images were taken by Jon Lewis, a Horton Porter, as well as a professional photographer. Pictured are staff and patients from the Emergency Assessment Unit, Critical Care Unit and Juniper Ward. Jon worked with Oxford Hospitals Charity to capture scenes across our hospitals during the pandemic

We are grateful to the patients and their families who kindly allowed us to share these images

NHS Birthday OUH and Oxford Hospitals Charity worked together throughout the pandemic to mark moments of importance, including the NHS Birthday on 5 July 2021. CLOCKWISE FROM TOP LEFT: ■ Pharmacy

staff celebrating the NHS Birthday thank you tea – photograph submitted by Valerie Pinfold, Trust Volunteer ■ Celebrating the NHS Birthday on our wards ■ Executive Directors including Chief Operating Officer, Sara Randall, Chief People Officer, Terry Roberts and Chief Medical Officer, Professor Meghana Pandit took time to distribute cakes to staff across the Trust ■ Tea for two – submitted by Annabelle Baker, Executive Assistant, SuWOn Division ■ Volunteers’

■ TOP RIGHT: ‘See

you in an hour’ by Xisto depicts a nurse carrying her pillows and blankets and represents a healthcare worker going on their one-hour sleep break during a night shift on AICU ■ BOTTOM LEFT: ‘Girl holding a candle’ also by Xisto depicts a grandchild’s prayers, thoughts and memories of a grandparent passing away from COVID-19 ■ TOP LEFT AND BOTTOM RIGHT: the artist himself

Zito Soares da Silva (also known as Xisto) is a nursing assistant on AICU at the John Radcliffe. He describes his artwork as being from his heart and draws his inspiration from the real-life scenes he witnessed working in AICU during the COVID-19 pandemic. He’s a strong believer in recycling and re-utilising materials so uses the cardboard boxes from supplies delivered to the ward to make the backgrounds he’s stuck on the wall to draw on.

The arts have played an important part in supporting staff across OUH, with music, painting and poetry all providing an emotional outlet, helping staff to come together and express their experiences

We have also been gifted a number of works by artists wanting to support our hospitals, including a limited edition print by Damien Hirst TOP LEFT: Butterfly Rainbow, 2020 by Damien Hirst; TOP RIGHT: NHS Hug, 2020 (detail) by Emma Waddleton; BOTTOM LEFT: The World is in Your Hands (detail) by Zito Soares da Silva (OUH staff); BOTTOM RIGHT: ICU Matron Lyn Bennett in front of You Make it Complete, 2020 by Zito Soares da Silva

Staff with their Team Poems, co-created by poet Beth Calverley

A very special thank you ■ Raymond

Blanc made a promise to thank the hospital staff who cared for him in January 2021 when he was seriously ill with COVID-19. Once restrictions lifted, the Michelin starred chef stayed true to his word by hosting a garden party for 100 staff at Le Manoir aux Quat’ Saisons

■ Most

of the guests were OUH staff who had been directly involved in his care, alongside representatives from each hospital site including cleaners, porters and catering staff

■ In

a moving speech Raymond Blanc praised the incredible teamwork and professionalism he had witnessed and thanked those present for keeping him alive

RHS Chelsea Flower Show A garden at the 2021 RHS Chelsea Flower Show celebrated the tireless work of NHS staff, as well as commemorating all keyworker efforts throughout the COVID-19 pandemic. Finding Our Way was designed by Naomi Ferrett-Cohen for the University of Oxford and Oxford University Hospitals (OUH). ■ PICTURED TOP LEFT:

Katy Mimpress (Matron in the Emergency Department at the John Radcliffe Hospital) and Ade Adegboyega (Ward Sister on John Warin Ward at the John Radcliffe) at the Chelsea Flower Show ■ PICTURED TOP RIGHT: Trust Chair, Professor Sir Jonathan Montgomery visits the garden ■ PICTURED ABOVE: Artist’s impression of the Finding Our Way garden

Special Celebrations ■ PICTURED ABOVE:

2020 saw the Oxfordshire Hospital School, which has bases in the Oxford Children’s Hospital, Nuffield Orthopaedic Centre and Horton General, celebrate an incredible 100 years. The hospital school is thought to be the oldest in the UK, and possibly the world

■ PICTURED LEFT:

Silver Star, which provides pioneering special antenatal care, celebrated its 50th anniversary. Silver Star Society Manager Maggie Findlay (left) is pictured with Beth Albert, Lead Midwife for Maternal Medicine and Fetal and Maternal Medicine Unit Manager

Christmas Stars 2020 ■ PICTURED

LEFT: After a long and tough year, and with face to face parties not possible, the Oxford Hospitals Charity team organised a virtual Christmas concert, with special contributions from community groups and celebrities, including Stephen Fry, Pam St Clement and Mel Giedroyc ■ The charity also funded Christmas trees, treats for staff and gifts for patients, young and old ■ PICTURED FAR RIGHT: A patient receives their Charity activity pack – thank you to Adam Newberry, Therapy Assistant for sharing this wonderful photograph

PICTURED ABOVE: ■

Standing with Giants – a poignant moment for members of the Respiratory HDU Physio team who stood proudly with the ‘giants’ to acknowledge lives lost during the COVID-19 pandemic and represent our contribution to caring for COVID-19 patients in Oxford Thank you to Rachel Lardner, Team Lead Physiotherapist – Respiratory Medicine

PICTURED LEFT: ■ Ever

creative and resourceful – teams across Orthodontics and ENT made their own COVID-19 safe Christmas decorations from wipeable materials

Natasha Weibel (Change and Effectiveness Lead, NOTSSCaN Division), flanked by Charity volunteers Tamara Moon and Amy O’Hanlon, in the Charity Support Hub in the West Wing at the John Radcliffe Hospital

Members of the team in the Charity Support Hub at the Horton General Hospital including Bridget Daly (Voluntary Services Co-ordinator – holding the Charity sign) and Yolanda Jacob (Horton Operational Manager – seated)

Jabeen Alam (Admin Officer, Orthotics) and Suyin Mills (Directorate PA) in the Charity Support Hub at the Nuffield Orthopaedic Centre

■ PICTURED

ABOVE: Sam Foster, Chief Nursing Officer, pictured with Douglas Graham, CEO of Oxford Hospitals Charity, to thank our local community for their outpouring of kindness during the pandemic. Donations funded a huge amount of support for patients and staff across the Trust ■ PICTURED RIGHT: Zoe Pooley, Matron in the Oxford Children’s Hospital, is pictured with a special comic created with Phoenix Magazine by the Charity’s Artlink programme, which includes a section on PPE

Key to our COVID-19 response has been the work of our dedicated volunteers on all four of our hospital sites, delivering food parcels and other essentials to frontline staff. There are more than 200 volunteers across the Trust and we are grateful to every single one of them The Voluntary Services team is led by Bridget Daly and Elizabeth Hewer-Connelly.

Leading from the front During the first wave of the COVID-19 pandemic, the presence of our senior nursing team and their willingness to join nursing colleagues on the frontline was an inspiration – their bravery served to motivate many of us during the most challenging of times.

CLOCKWISE FROM TOP LEFT: ■

hief Nursing Officer Sam Foster and Director of Nursing C Workforce Andrew Carter at the Horton General undertaking walkabouts to support and advise on correct use of PPE ■ Sam Foster with her mentor, Courtney Smith, on her first shift back in ICU ■ Chief Executive Officer Dr Bruno Holthof with Matt Holdaway (Divisional Director of Nursing, CSS) and Dave Garry (Clinical Lead, Critical Care) in ICU

CLOCKWISE FROM TOP: ■

The amazing ICU team that Sam worked with Glad to move to a new reusable mask that made us feel safe in practice ■ Louise Rawlinson (Divisional Director of Nursing, MRC) with her knitted nurse from a kind mum of one of our nurses ■

Thank you to our Chief Nursing Officer Sam Foster for sharing these images

COLLECTION 2

DELIVERY and EXCELLENCE

DR BAVIDRA KULENDRARAJAH pictured in the Emergency Department at the John Radcliffe Hospital

DELIVERY

and EXCELLENCE

Our values matter because, whether our role is to provide direct patient care or to work behind the front line supporting our colleagues who provide that care, we all have a common purpose – to put our patients at the heart of everything we do.

There have been countless examples of this every day throughout the COVID-19 pandemic and many of the photographs in this collection exemplify the way in which this value has been lived by our staff.

This collection of images is based around our values of Delivery and Excellence.

EXCELLENCE means feeling proud of the quality of care which we provide for patients and taking the time to recognise and celebrate other people’s successes.

DELIVERY is a key value in enabling us to achieve our strategic objective of providing high quality, safe, patient-centred care and our vision of Delivering Compassionate Excellence for our people, our patients, and our populations. As OneTeamOneOUH, this means consistently delivering over and above what’s expected of us.

WHEN COVID STOPPED PLAY THE TOYS WERE STORED AWAY Oxford Children’s Hospital

We strive for excellence in everything that we do, and we aim to inspire and motivate each other to achieve excellence – this OneTeamOneOUH approach can be seen in many of the images in this collection.

Children’s Services CLOCKWISE FROM LEFT: ■ Senior

Play Specialist, Sonia Dugmore, supports children to have important scans without a general anaesthetic. This post was developed while anaesthetic procedures were reduced during the first wave and has proven such a success that Oxford Hospitals Charity has funded a two-year continuation of the role ■ Play specialist meticulously cleans each and every one of the children’s toys ■ Behind the masks – this child-friendly poster pictures each member of the team with and without their PPE ■ The Play Specialist team marking Play in Hospital Week ■ Horton General Play Specialist, Hannah Gilkes, pictured with young patient Elsie Langlands

CLOCKWISE FROM LEFT: ■ Bobbie

Hunt from Chipping Norton on Robin’s Ward with Staff Nurse Kara Jackman ■ Catherine Costello, from the Oxfordshire Hospital School, which kept teaching children in hospital using remote and bedside learning throughout the pandemic ■ Staff Nurse Emily McLaughlin with Kamran’s Ward patient, Leon Belzung ■ This sign says it all

CLOCKWISE FROM LEFT: ■ Staff

Nurse working on Osler Respiratory Unit, which became a COVID Red Zone at the height of the pandemic ■ Marcia, in full PPE, with a welcoming smile, at the entrance to Osler Respiratory Unit ■ Staff Nurse on a break in the newly refurbished staff room in a COVID Red Zone

Maternity Services Maternity teams across the Trust, in the hospitals, satellite sites and the community, worked tirelessly throughout the pandemic.

Maternity staff and pregnant women supported a local (OUH) and regional (NHS England and NHS Improvement) vaccination campaign encouraging women who are trying to get pregnant, are pregnant, or breastfeeding to get the COVID-19 vaccination. Heidi Ottosen, Consultant Midwife in staff uniform, is pictured with Kate Eadie (light blue dress) and Chido Chirambasukwa (dark blue dress), both of whom received their vaccinations while pregnant. Together, they helped promote the benefits of the vaccine for women and their babies, as well as their families.

A new Delivery Suite theatre was opened at the John Radcliffe Hospital in July 2020 as part of an NHS England initiative to give more patients excellent, personalised care in world-class facilities. Staff also benefited from a renovated staff room, funded by Oxford Hospitals Charity.

CLOCKWISE FROM LEFT: ■ Recovering

COVID-19 patient Nigel Morgan is relieved to find out that he will soon be going home ■ One final consultation with his doctor before being discharged after seven weeks in hospital ■ Nigel is reunited with his family. He thanked staff for the care he received and said he was delighted at the way he had been looked after: “I am humbled actually and that’s the truth, the nurses are marvellous.”

CLOCKWISE FROM TOP: ■

The Linen Team during the early days of the COVID-19 pandemic ■ COVID-19 has brought an even stronger focus than usual on the requirement for the highest possible standards of cleanliness to ensure everyone’s safety on all our hospital sites. Our Domestic Assistants are vital members of our OneTeamOneOUH

Physiotherapist Patricia Costello collecting a standing hoist to mobilise a patient

CLOCKWISE FROM LEFT: ■ Januario

Tilman pictured in Intensive Care at the John Radcliffe Hospital ■ Internationally trained nurse Julienne Cabilah (left) with Deputy Sister Rosalie Maneclang (right) checking patient notes on a mobile computer station ■ Oxford Hospitals Charity’s Music on Wards programme went virtual during the pandemic, giving patients like Raymond Sale the chance of a chat and live personal concert – photograph submitted by Sarah Saunders, Nurse Specialist and Wellbeing Lead

A member of the catering team dishing up patients’ lunches

Senior Nurse Practitioner Val Bissett (centre) and colleagues in the Emergency Department at the Horton General Hospital

CLOCKWISE FROM TOP: ■ Photograph

of medical students who helped Adult Intensive Care Unit (AICU) staff to don and doff PPE during the first wave of the pandemic – submitted by Cherry Lumley (Senior Sister in AICU) ■ Physiotherapist Bethan Harris collecting a hoist to mobilise a patient ■ Nursing Assistant in full PPE on Osler Respiratory Unit

The new normal ■ Daily

team huddles staff member performing daily cleaning duties ■ Redeployed nursing staff prepare fresh supplies to wash a patient ■ Nursing Assistant Esther Adjaottor observes a patient from outside a side room ■ Domestic

MAIN IMAGE: Entering the Intensive Care Unit at the John Radcliffe Hospital

PICTURED LEFT: ■

Self portrait of professional photographer Jon Lewis. Jon, who also works as part of the Portering team at the Horton General Hospital, photographed staff in the John Radcliffe Adult Intensive Care Unit (AICU) in June 2020

LEFT AND RIGHT PAGES: ■ Images

of staff working in the John Radcliffe Adult Intensive Care Unit (AICU) during the pandemic. Staff from across the Trust were redeployed to support this area and across other Trust areas under pressure ■ Paediatric Intensive Care was temporarily moved to create the extra space needed for AICU. This huge change was only possible thanks to the tremendous efforts of staff

CLOCKWISE FROM TOP LEFT: ■ Nurses

about to rotate into the Red AICU COVID bays ■ Clogs and boots in the AICU donning room ■ The Orthotics team at the NOC became manufacturers of visors in April 2020 as they used their skills to respond to the pandemic

■ Mark

Borthwick (Consultant Pharmacist – Critical Care) takes propofol syringes made by clinical trials to the COVID AICU Photographs submitted by Mark Borthwick, Consultant Pharmacist – Critical Care, and Paul Horwood, Orthotics Service Lead

As the first wave of the pandemic subsides, Outpatients Blue Area at the John Radcliffe Hospital is prepared for socially distanced waiting – photograph submitted by Mark Borthwick, Consultant Pharmacist – Critical Care

Infection Prevention and Control team ■ The

team carries out FIT testing of staff PPE, performs equipment checks and collects urgent specimen samples, ready for testing

■

ICTURED RIGHT: Chief Executive P Officer, Dr Bruno Holthof, with Dr Katie Jeffery (Director of Infection Prevention and Control) and Dr Monique Andersson (Consultant in Clinical Infection). Please note this photograph pre-dates guidance for all staff to wear face masks on our hospital sites

CLOCKWISE FROM LEFT: ■ Portering

colleagues Ben Hallam and Chad Newman at Horton General Hospital ■ Face mask dispensers have become a common sight across our hospitals ■ Social distancing signage is designed and printed at pace by the Trust’s in-house design team and printed in OMI’s Print Room ■ A visitor familiarises herself with the guidance for face mask disposal displayed on the Trust’s digital screens ■ Checking for COVID-19 symptoms – temperature checks at entrances

Remote working and staying connected THANK YOU to all those staff for whom remote working has become the ‘new normal’ during the COVID-19 pandemic and who have had to adapt the way they work by using digital technology such as video calls.

Virtual meetings and events have also become a way for staff to stay connected and engaged with each other – online sessions run by our Staff Networks, monthly virtual Staff Briefing sessions led by our Executive team, Freedom to Speak Up virtual listening events, and much more. Thank you also to our Non-Executive Directors on the Trust Board and to our governors – including people elected by our Foundation Trust members to ensure that the voice of patients, the public and staff is heard by the Board – who have continued to play essential roles throughout the pandemic at virtual Board and Council of Governors meetings.

ONLINE VIRTUAL EVENTS INCLUDE:

1-4 Virtual Staff Briefings are held every month – led by the Executive team and open to all staff 5. Chief People Officer, Terry Roberts hosted an online event for staff about the career journeys of black leaders in the health service to mark Black History Month in October 2021 – with colleagues from other NHS organisations in the Buckinghamshire, Oxfordshire and Berkshire West (BOB) Integrated Care System (ICS) 6. To raise awareness of Freedom to Speak Up (FtSU) during Speak Up Month in October 2021, Claire Flint (Non-Executive Director FtSU lead) and Eileen Walsh (Executive Director FtSU lead) recorded video messages remotely, which were shared with staff via internal communications channels and social media, and took part in a virtual listening event with staff with Trust Chief Executive Officer, Dr Bruno Holthof

Charity – Sarah V

7. Our Council of Governors hold virtual meetings with Trust Board members present 8. Trust Board meetings are also held virtually and the recordings made available via the Trust’s YouTube channel 9. More than 170 staff from our Digital team attended a virtual away day to reflect on progress made during the pandemic

COLLECTION 3

LEARNING and IMPROVEMENT

A RESEARCHER AT THE JENNER INSTITUTE carries out tests on the Oxford-AstraZeneca Coronavirus Vaccine © University of Oxford / John Cairns

LEARNING

and IMPROVEMENT

THE COVID-19 PANDEMIC has been an unprecedented time for everyone working in healthcare. We have all learned a huge amount about ourselves, our colleagues, and how to not only maintain but also improve the care which we provide for our patients – despite the challenges. This collection of images is based around our values of Learning and Improvement. LEARNING from both successes and setbacks is a key value and the way in which we make the link between what we learn and how it benefits others – our patients, staff colleagues and the Trust as a whole – is exemplified by many of the photographs in this collection.

INTERNATIONALLY TRAINED NURSE Julienne Cabilah entering a side room with equipment to take a patient’s blood samples

IMPROVEMENT means striving to improve on what we do through change and innovation, and the challenges of the COVID-19 pandemic and the need to change the way we do things can also be seen in this collection. This approach was exemplified in September 2021 when OUH won the Changing Culture Award at the Health Service Journal Patent Safety Awards in recognition of our Quality Improvement (QI) Hub, which brings together examples of improvement across the organisation to learn from in order to establish a culture in which our staff feel supported to improve patient and staff experience.

CLOCKWISE FROM LEFT: ■ Shamaila

Naureen, Neurorehabilitation Practitioner, Oxford Centre for Enablement at the Nuffield Orthopaedic Centre ■ Cardiology staff at the Oxford Heart Centre ■ Osler Chest Unit team (from left to right) Marcia Almazan, Sally Maneclang and Caroline Lawrenson, June 2020 ■ PPE Co-ordinator Ana Djuradjevic in the PPE store, June 2020

CLOCKWISE FROM LEFT: ■ Physiotherapists

in Respiratory HDU – submitted by Rachel Lardner, Team Lead Physiotherapist, Respiratory Medicine ■ Sheelagh Hobbs with Ward Sister Jessica Davies, left and Staff Nurse Emily Taylor at the Oxford Heart Centre ■ Staff from the Orthotics team at the NOC, who made visors for the Trust ■ Members of the Proning team about to go into AICU – submitted by Rachel Lardner, Team Lead Physiotherapist, Respiratory Medicine

Staff testing CLOCKWISE FROM LEFT: ■ Samples

being tested through rapid COVID-19 testing outside Occupational Health at the John Radcliffe Hospital Submitted by Denise O’Donnell, Clinical Research Operations Manager ■ Melika Behzad (Specialist Biomedical Scientist), Jess Collins (Specialist Biomedical Scientist) and Ash Cooper (Senior Biomedical Scientist) at work examining blood films ■ Drive

FOLLOWING THE PROGRESS OF A COVID SWAB

Laboratory staff Annie Welbourne, Imogen Clarke, and Jack Dobson.

COVID swabs arrive in the COVID Unpacking Room where they are removed from their outer protective packing and the swabs scanned before their clear plastic tubes are disinfected and have labels applied. Pictured is Biomedical Scientist Robin Terry who was working at Oxford Brookes University and volunteered his services to help the fight against the virus.

The last stage the swab goes through to render it inactive, effectively to kill it using heat. Biomedical Scientist Robin Terry is pictured placing swabs into a heat block.

Chief Biomedical Scientist Marcus Morgan shows the increasing amount of COVID testing taking place by the Microbiology team during the first wave of the pandemic in 2020.

Research Scientists Steven Fiddamen and Cathy De Lara are shown here loading inactivated samples into the Qiagen Symphony robot. This is one of four Symphony robots brought in to extract DNA from the samples before sending on for PCR.

When the swabs are rendered inactive, they are taken to the Extraction Room. Pictured there using an M2000 extraction and PCR machine (which were increased in number from one to three to meet the test targets) are Biomedical Scientists Helena Da Costa and Frances Colles.

Oxford Vaccine development PICTURED CLOCKWISE FROM TOP LEFT: ■

Professor Andrew Pollard Processing serum at the Oxford Vaccine Group ■ Receiving samples at the Jenner Institute ■

■

PICTURED ABOVE: Professor Sarah Gilbert RIGHT: a range of tests carried out at the Jenner Institute as part of the development of the vaccine – (top to bottom) blood processing, an ELISpot assay and flow cytometry

■ PICTURED

TRUST CHIEF EXECUTIVE OFFICER, Dr Bruno Holthof, with Professor Andrew Pollard outside the University’s vaccine development facility on the Churchill Hospital site

OXFORD VACCINE TIMELINE 2020 JANUARY 20 The Oxford team starts work on a developing a vaccine to prevent COVID-19

SEPTEMBER 2 A new arm of the late-stage clinical trials is launched in the US

FEBRUARY 18 The Jenner Institute agrees a contract with Italian manufacturer Advent Srl to produce the doses for the first clinical trials of the Oxford Vaccine

OCTOBER 26 AstraZeneca announces that the vaccine produces an immune response in both young and old adults

MARCH 27 The Oxford COVID-19 Vaccine Programme opens for clinical trial recruitment APRIL 23 Phase I clinical trials start in the UK across multiple study sites including Oxford APRIL 30 The University of Oxford announces an agreement with AstraZeneca for the further development, large-scale manufacture and potential distribution of the vaccine MAY 22 Researchers begin recruiting up to 10,260 volunteers for Phase II / III clinical trials in the UK – expanding the age range JUNE 23 Clinical trials start in South Africa JUNE 28 Clinical trials start in Brazil JULY 20 Results of the Phase I / II trial, published in The Lancet, indicate no early safety concerns and show the vaccine induces a strong immune response

NOVEMBER 23 Researchers announce full late-stage trial results which show the Oxford Vaccine is 70.4% effective, on average, in preventing COVID-19 after two doses – these findings show that the Oxford team has developed an effective vaccine that will save many lives DECEMBER 30 The UK Government accepts the recommendation from the Medicines and Healthcare products Regulatory Agency (MHRA) to authorise the emergency use of the Oxford-AstraZeneca vaccine in the UK

2021 JANUARY 4 Brian Pinker, 82, becomes the first person in the world to receive the Oxford-AstraZeneca vaccine – at the Churchill Hospital in Oxford FEBRUARY 13 A UK Phase II study is launched to assess the safety and immune response of the vaccine in children and young people aged 6-17 years old at multiple study sites including Oxford Find out more about the Oxford Vaccine story at:

www.ox.ac.uk/oxford-vaccine

Vaccination Centre at the Churchill Hospital CLOCKWISE FROM LEFT: orning prep on the final day of M administering the Oxford-AstraZeneca vaccine ■ Team brief on the morning of the final day of administering the vaccine ■ David Walliker, Chief Digital and Partnerships Officer, pictured at the Vaccination Centre ■ Delivery of the Oxford-AstraZeneca vaccine ■

CLOCKWISE FROM RIGHT: ■ Bhulesh

Vadher (Chief Pharmacist) with Sam Foster (Chief Nursing Officer) and Professor Meghana Pandit (Chief Medical Officer) ■ Vials of the precious vaccine are prepared ■ Professor Andrew Pollard is given his first dose of Oxford-AstraZeneca vaccine by Chief Nursing Officer, Sam Foster

CLOCKWISE FROM LEFT: ■

very impressive cake celebrating the success A of the Vaccination Centre at the Churchill Hospital, submitted by Craig Walsh, Advanced Nurse Practitioner for Paediatric Orthopaedics ■ Imam Monawar Hussain, our Muslim Chaplain, receives his COVID-19 vaccination from OUH Chief Nursing Officer, Sam Foster ■ Dr Bruno Holthof receives his first vaccination ■ Photograph submitted by Ria Rabara, Research Nurse, Renal & Transplant

CLOCKWISE FROM LEFT: ■

Vaccination Registration Station is placed into a temperature controlled refrigerator ■ Clinical Trial Service Unit (CTSU) staff retrieve vaccine from freezer set to -70 degrees ■ Vaccine is thawed in a specialist cold store ■ Staff in clinic receive thawed vaccines from CTSU staff ■ Staff thoroughly check vaccine details prior to administration ■ A vial of the precious Pfizer vaccine ■ PICTURED OPPOSITE: The vaccine being administered ■ Vaccine

CLOCKWISE FROM LEFT: ■ COVID

AICU team – submitted by Cherry Lumley, Senior Sister in AICU ■ COVID-19 patient being transferred by the anaesthetic team for a CT scan – submitted by Cherry Lumley, Senior Sister in AICU ■ Filming in March 2020 to create new videos about COVID resuscitation guidance to reflect COVID changes nationally and to inform all OUH staff and keep them safe. These videos have gone on to support resuscitation training across all our hospital sites – submitted by Zoe Abel, Resuscitation Practitioner

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CLOCKWISE FROM ABOVE: ■ Helen

Marchetti, Staff Nurse and Wellbeing Lead on John Warin Ward, was given this OneTeamOneOUH knitted bear in scrubs by a member of the public as a gesture of support ■ Physiotherapists Owen Gustafson and Annika Jarman prepare to enter AICU – submitted by Cherry Lumley, Senior Sister in AICU ■ The Original OPTICs team (Healthcare Workers COVID study) on Ward 5E at the John Radcliffe Hospital – submitted by Victoria Skinner, Clinical Trials Administrator ■ Maternity Support Workers Katie Blissett – submitted by Kelly Harvey, Maternity Support Worker on the Fetal and Maternal Medicine Unit in the Women’s Centre at the John Radcliffe Hospital

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Nuffield Orthopaedic Centre (NOC) ■ Images

of staff from across the Nuffield Orthopaedic Centre (NOC) including the Oxford Centre for Enablement (OCE) ■ Many staff at the NOC were redeployed to other areas of the Trust to help with vital work during the most pressing times of the pandemic ■ Technology also helped staff keep connected with their patients, with virtual therapies proving effective

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Building for the future CLOCKWISE FROM TOP LEFT: ■

The new dedicated Children’s Emergency area at the Horton General, which opened in March 2021, with (from left) Douglas Graham, Charity CEO, Valerie Bissett, Senior Sister Horton ED, Anne Tutt, charity trustee and Vice Chair OUH, Phil Hormbrey, Emergency Consultant and Pippa Parnell, Children’s Matron ■ One of our new bed bays in the Children’s Emergency area at the Horton General ■ One of our new MRI scanners arrives on site ■ Henry Bettinson (Clinical Lead) and Helen Disley (Deputy Matron) are pictured in the new Osler Respiratory Unit at the John Radcliffe Hospital ■ Swindon Radiotherapy Unit ‘topping out’ ceremony in September 2021 ■ The fifth floor of the new Critical Care Building at the John Radcliffe Hospital will be a bright welcoming space with areas for staff on their breaks to relax, socialise, study and enjoy the spectacular views ■ New Critical Care Building – artist’s impression

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RAY ATIENZA-HAWKES – Unit Manager, Ambulatory Assessment Unit

The Oxford Hospitals Charity team has worked closely with the Trust and OUH teams to fund extra support for staff across OUH – from hampers and boost packs to Respite Rooms, Rest Pods and funding additional staff to provide psychological support Across the Trust OUH staff have also volunteered to be wellbeing leads and support staff in their teams

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A handmade card featuring members of the team that supported the staff testing programme, which was made for the team in June 2021 when they finished asymptomatic staff testing. This photograph was submitted by Denise O’Donnell whose day to day role is operational lead for the Gastroenterology & Hepatology Clinical Trials Facility but who during COVID-19 led the operational side of the asymptomatic staff testing programme. Denise says: “I will never look at this card and not feel a great deal of emotion and pride.”

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COVID-19 chronology FEBRUARY 4 First COVID-19 positive patients admitted to OUH for treatment FEBRUARY 17 Following national guidance that all hospitals with Emergency Departments (A&E) should install NHS 111 pods, so that anyone attending hospital with symptoms of COVID-19 can be kept isolated from other patients, Portakabins® are put in place at the main entrances of the John Radcliffe and Horton General hospitals FEBRUARY 18 The Jenner Institute agrees a contract with Italian manufacturer Advent Srl to produce the doses for the first clinical trials of the Oxford Vaccine MARCH 11 The World Health Organization declares the novel coronavirus (COVID-19) outbreak a global pandemic MARCH 16 Visiting OUH hospitals is limited to help tackle the spread of COVID-19 MARCH 19 Patients with COVID-19 at the John Radcliffe Hospital are among the first to be recruited to a new clinical trial to test the effects of potential drug treatments for those with the virus – the RECOVERY Treatment Trial is led by researchers from the University of Oxford MARCH 23 Visiting restrictions to OUH hospitals are further tightened – no visitors are now allowed with limited exceptions (Maternity, Paediatrics, End of Life Care, etc.) UK lockdown enforced: Prime Minister Boris Johnson announces people may only leave their homes for strictly limited reasons

MARCH 24 OUH postpones all routine, planned outpatient appointments and all routine, elective inpatient surgery (in line with national guidance) but maintains urgent and emergency care and cancer treatments – to prioritise the sickest patients and maintain safe patient care MARCH 26 The first Clap for Carers weekly event takes place MARCH 27 The Oxford COVID-19 Vaccine Programme starts screening healthy volunteers ahead of a clinical trial APRIL 6 Salute the NHS (a national initiative to provide free and nutritious meals to NHS staff) launches at OUH The first OUH Charity Support Hub to co-ordinate meals, refreshments and care packs being donated to staff opens at the John Radcliffe Hospital APRIL 13 Government figures show 20,000 deaths from COVID-19 in the UK Second OUH Charity Support Hub opens at Horton General Hospital APRIL 21 Dr Sachin Mandalia, Clinical Lead for the Emergency Department at the John Radcliffe Hospital, issues a public plea following concerns that people were putting their health at risk by not coming to hospital to avoid overburdening services during the COVID-19 pandemic APRIL 23 Oxford COVID-19 Vaccine Programme first human clinical trials launched Third OUH Charity Support Hub opens at Churchill Hospital

2020 APRIL 27 Fourth OUH Charity Support Hub opens at Nuffield Orthopaedic Centre (NOC) APRIL 30 University of Oxford announces an agreement with AstraZeneca for the further development, large-scale manufacture and potential distribution of the vaccine MAY 12 New Government advice states that face coverings must be worn in enclosed spaces and on public transport MAY 18 Keep in Touch, a virtual letter delivery service for patients to be able to hear from their friends and family despite visiting restrictions, is launched at OUH MAY 20 To mark National Thank a Teacher Day, OUH Chair, Professor Sir Jonathan Montgomery, and Chief Executive Officer, Dr Bruno Holthof write a personal letter to local headteachers to thank them and their staff for everything they are doing during the COVID-19 pandemic for the children of keyworkers in the NHS and other essential services MAY 22 Researchers begin recruiting up to 10,260 volunteers for the next two phases in clinical trials of the Oxford Vaccine – expanding the age range COVID-19 survivor Ken Wood, who spent nearly three weeks being treated at the John Radcliffe Hospital, tells his story – he says: “I want to take this opportunity to say thank you to the NHS – all those that cared for me – for my life.” MAY 23 Government figures show 50,000 deaths from COVID-19 in the UK

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2020 MAY 28 The last Clap for Carers weekly event takes place JUNE 3 A patient at the John Radcliffe Hospital is the first to be recruited to the ATOMIC2 clinical trial to test whether azithromycin can treat the symptoms of COVID-19 in people who feel well enough to be cared for at home JUNE 13 People who live alone in England can form a ‘support bubble’ with another household, as COVID-19 deaths and cases continue to fall JUNE 15 In line with Government guidance, patients and members of the public are asked to wear a face covering when visiting OUH hospitals JUNE 22 New Emergency Department facilities for the John Radcliffe Hospital open – the new space includes nine extra bays for immediate care of the seriously ill, a paediatric resuscitation room, and a dedicated CT scanner for the resus area JUNE 29 Rule of One visiting is introduced for most inpatient wards as COVID-19 deaths and cases reduce JUNE 30 First research paper published about the COVID-19 staff testing programme study at OUH reveals different levels of risk faced by healthcare workers dealing with the pandemic – it combines data from both symptomatic and asymptomatic staff testing programmes

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JULY 4 UK lockdown is eased as a range of venues including pubs, restaurants, hairdressers and places of worship reopen on what the media calls ‘Super Saturday’ JULY 8 A major UK research study in which Oxford researchers are playing a key role to investigate the long-term health impacts of COVID-19 on hospitalised patients, is launched – PHOSP-COVID is awarded £8.4 million jointly by UK Research and Innovation and the National Institute for Health Research (NIHR) JULY 27 Initial research findings on the effectiveness of the CURIAL Artificial Intelligence (AI) test, developed by University of Oxford and used to rapidly screen for COVID-19 in patients arriving at OUH Emergency Departments, are published JULY 30 The latest research paper published about the COVID-19 staff testing programme study at OUH shows that COVID-19 antibody tests might not give a positive result if people have only had mild symptoms, like loss of taste and smell AUGUST 3 Work starts on the new OUH Radiotherapy Centre on the Great Western Hospital site in Swindon which will enable cancer patients to access care closer to home AUGUST 11 The Trust publishes its Strategy 20202025 which will guide our priorities and decisions over the next five years

AUGUST 17 Renal dialysis resumes at the Horton General Hospital in Banbury – the Horton Renal Unit was temporarily moved to the NOC in Oxford earlier in the year as we mobilised our response to the COVID-19 pandemic SEPTEMBER 3 UK records highest daily total of coronavirus cases since early June SEPTEMBER 7 A study finds that having had a liver transplant does not increase the risk of death from COVID-19 – researchers from the Oxford Liver Unit, based at OUH, and the University of Oxford’s Centre for Statistics in Medicine publish a paper in The Lancet SEPTEMBER 15 Oxford respiratory researchers find that putting COVID-19 patients in a prone position can lead to improved outcomes – the findings of their study, supported by the NIHR Oxford Biomedical Research Centre (BRC), are published in an article by BMJ Open Respiratory Research SEPTEMBER 16 Increasing COVID-19 cases in Oxford mean the city is once again on amber alert – this happens when cases rise above 25 per 100,000 of the population SEPTEMBER 24 The NHS COVID-19 App launches to the public SEPTEMBER 30 Oxford edges closer to red alert after positive cases double in a week

2020 OCTOBER 6 An international study led by researchers at OUH and published in the Journal of Hepatology shows that patients with cirrhosis are at increased risk of dying as a result of COVID-19 OCTOBER 12 The Government announces the introduction of ‘local COVID alert levels’, or tiers – medium (tier 1), high (tier 2), and very high (tier 3) tiers were added to with a tier 4 later in the year OCTOBER 28 More than 6,000 patients who underwent endoscopy at 18 NHS hospitals since the start of the pandemic were tested and none contracted COVID-19 as a result of the procedure, according to a study involving clinicians from OUH OCTOBER 31 Oxford is moved into the Government’s high (tier 2) COVID alert level after a further rise in cases of COVID-19 – the rest of Oxfordshire is at medium (tier 1) alert level NOVEMBER 5 Second national lockdown starts in England and remains in place until December 2 Antibodies to COVID-19 fall by half in less than 90 days, and antibody levels peak lower and fall faster in younger adults, according to the latest research published about the COVID-19 staff testing programme at OUH NOVEMBER 20 New study, based on data from the COVID-19 staff testing programme at OUH, suggests that individuals who have previously had COVID-19 are unlikely to contract the illness again, for at least six months following their first infection

NOVEMBER 23 Researchers announce full late-stage trial results which show the Oxford Vaccine is 70.4% effective, on average, in preventing COVID-19 after two doses

DECEMBER 23 Visiting restrictions are further tightened – no visitors are now allowed with limited exceptions (Maternity, Paediatrics, End of Life Care, etc.)

The team from the Oxford Vaccine Group and Jenner Institute who developed a COVID-19 vaccine in record time are shortlisted for the Excellence in Healthcare Award at the NHS Parliamentary Awards after being nominated by Layla Moran, MP for Oxford West and Abingdon

DECEMBER 26 Oxfordshire is placed under tier 4 restrictions DECEMBER 30 The coronavirus vaccine developed by scientists at the University of Oxford with AstraZeneca is approved for use in the UK

DECEMBER 1 MPs vote to replace the second national lockdown with tighter tier restrictions in England DECEMBER 2 Oxfordshire is placed into the high (tier 2) alert level DECEMBER 8 Vaccinations start at 50 Hospital Hubs across the country, including at the Churchill Hospital Visiting rules at OUH are tightened – patients on most inpatient wards are still permitted one visitor, for one hour, each day, but visitors must be from the patient’s household or support bubble DECEMBER 17 Cases of COVID-19 are rising sharply across Oxfordshire – up 50% in just a week DECEMBER 18 OUH and Oxford Health NHS Foundation Trust are designated by NHS England to run a joint Long COVID Service after new research from the Office for National Statistics shows that 20% of people with coronavirus develop longer term symptoms

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2021 JANUARY 4 Retired maintenance worker Brian Pinker (82) becomes the first person in the world to receive the new OxfordAstraZeneca Coronavirus Vaccine at the Churchill Hospital JANUARY 5 Third national lockdown starts JANUARY 7 The Office for National Statistics reports 100,000 deaths from COVID-19 in the UK JANUARY 11 C-MORE Study finds that a significant proportion of COVID-19 patients report breathlessness, fatigue and depression several weeks after being discharged from hospital – the study is led by researchers from the University of Oxford’s Radcliffe Department of Medicine and is supported by the NIHR Oxford Biomedical Research Centre (BRC) JANUARY 15 NHS England data shows 1 in 5 trusts in England are treating at least twice as many COVID-19 inpatients as at the peak of the first wave JANUARY 22 5.8 million people in the UK have now received their first dose COVID-19 vaccination JANUARY 25 Works start on site to build a new Haemophilia and Thrombosis Centre at the Nuffield Orthopaedic Centre (NOC) – just one of many capital developments to improve patient and staff experience which progressed despite the COVID-19 pandemic

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FEBRUARY 1 Oxfordshire’s COVID-19 vaccination programme has made such great progress since being launched in early December that more than 90% of those aged 80 and over have now received their first vaccination dose FEBRUARY 4 The world’s first COVID-19 vaccine study researching alternating doses and intervals of approved vaccines begins at the University of Oxford’s Centre for Clinical Vaccinology and Tropical Medicine at the Churchill Hospital FEBRUARY 8 Early treatment with a medication commonly used to treat asthma significantly reduces the need for urgent care and hospitalisation in people with COVID-19, according to researchers working on the University of Oxford’s STOIC Study, supported by the NIHR Oxford Biomedical Research Centre (BRC) FEBRUARY 11 Infection prevention and control clinicians and researchers at OUH publish a letter in the Journal of Infection to demonstrate the effectiveness of the Trust deploying self-administered home-based lateral flow testing of staff in order to limit the spread of COVID-19 in our hospitals MARCH 5 Work to build a new Critical Care Building on the John Radcliffe Hospital site gets underway – Dr Bruno Holthof, Chief Executive Officer at OUH, says “We are incredibly pleased about this new building. Not only will it improve our critical care environment, but it will help us in planning for future demands on our services.”

MARCH 15 Two doses of either the Pfizer or OxfordAstraZeneca vaccine offer similar protection against symptomatic COVID-19 infection to that coming from natural immunity after infection, according to new research published as part of an ongoing study at OUH – the Trust and the University of Oxford work closely together to develop and deliver a reliable and comprehensive testing programme to improve patient care, staff safety and our understanding of the virus MARCH 16 The new Osler Respiratory Unit at the John Radcliffe Hospital welcomes its first patients – two wards are completely renovated in order to provide a single Respiratory Unit in a modern and refurbished area APRIL 1 We welcome Katharine House Hospice staff as the hospice’s clinical services transfer to be under the management of OUH APRIL 23 We launch our Stories from the COVID-19 Pandemic – #OneTeamOneOUH eBook thanks to the generous support of Oxford Hospitals Charity MAY 20 On International Clinical Trials Day, we thank more than 7,000 people who took part in nationally prioritised COVID-19 studies in Oxfordshire MAY 25 A study by Oxford and Sheffield researchers using a cutting-edge method of imaging identified persistent damage to the lungs of COVID-19 patients at least three months after they were discharged from hospital

2021

JUNE 1 The first UK COVID-19 vaccine study for pregnant women is launched in Oxford as recruitment of participants begins at the John Radcliffe Hospital JUNE 3 People in Oxfordshire are urged to continue to follow public health guidance as the number of COVID-19 cases in the county triples in the space of just one week JUNE 11 A number of Oxford’s COVID-19 research heroes are recognised in the Queen’s Birthday Honours list JUNE 16 The RECOVERY Trial, the world’s largest randomised trial of potential COVID-19 treatments – based in Oxford – identifies another effective treatment JULY 5 Sam Foster, OUH Chief Nursing Officer, attends the National Service of Thanskgiving at St Paul’s Cathedral in London as part of the NHS Birthday celebrations JULY 7 The Oxford Vaccine Group and Jenner Institute team who developed the Oxford-AstraZeneca vaccine win the Excellence in Healthcare Award at the NHS Parliamentary Awards

AUGUST 12 Ruth May, Chief Nursing Officer for England, presents one of her Chief Nursing Officer Awards to Cherry Lumley, Senior Sister and Governance Lead in Adult Intensive Care at the John Radcliffe Hospital AUGUST 12 A research team led by Dr Sue Pavord, Consultant Haematologist at OUH, publishes the first findings on blood clotting after COVID-19 vaccination in the New England Journal of Medicine SEPTEMBER 1 An artificial intelligence test performed by the bedside in 10 minutes is shown to quickly and safely triage patients coming to hospital for COVID-19 after a threemonth evaluation at the John Radcliffe Hospital in Oxford SEPTEMBER 20 OUH wins the Changing Culture Award at the HSJ Patient Safety Awards in recognition of the Trust’s Quality Improvement (QI) Hub OCTOBER 4 The staff COVID-19 booster vaccination programme gets underway at OUH

JULY 12 Oxford City is given rapid additional support by central Government including increased testing and help to maximise vaccine uptake in order to reduce high COVID-19 infection rates

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Beyond Words… As this book is published in December 2021, it is hard to believe that almost two years have passed since the first COVID-19 positive patients were admitted to OUH for treatment on 4 February 2020. It has been a time of unprecedented challenges, both personally and professionally, for many people – we particularly remember those members of staff working at OUH who have lost their lives during the pandemic, and our thoughts go out to their families, friends and work colleagues. Earlier this year we introduced our Growing Stronger Together – Rest, Reflect, Recover programme in response to what staff were saying about the impact of working through the COVID-19 pandemic, with the aim of supporting health and wellbeing across our #OneTeamOneOUH workforce. This book forms part of Growing Stronger Together – an opportunity to reflect on what we have all been through together. We would welcome your feedback and your further reflections so please do contact our Communications team with your thoughts via covidquestions@ouh.nhs.uk

Thank you Matt Akid Director of Communications and Engagement, Oxford University Hospitals DECEMBER 2021

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Terry Roberts, OUH Chief People Officer, and Douglas Graham, Oxford Hospitals Charity Chief Executive (in the background) with May Quarmby and Simon Prangnell from the Trust’s Psychological Medicine team. Thanks to a successful bid for funding by the Charity to NHS Charities Together, the Trust has been able to establish a dedicated Staff Psychological Medicine Service. The support of the many OUH wellbeing leads who volunteered across the whole Trust has also proven invaluable.

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“ The COVID-19 pandemic has been a major challenge but it’s also brought the best out of us – let’s reflect on that as we move forward …

”

Professor Sir Jonathan Montgomery Trust Chair – Oxford University Hospitals NHS Foundation Trust

Thank you for being part of our

#OneTeamOneOUH

Images from the

COVID-19

PANDEMIC #OneTeamOneOUH

Published by Oxford University Hospitals with the kind support of Oxford Hospitals Charity